Online Adverse Drug Reaction Reporting
Reporter
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Report
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Summary
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Finished
Welcome! Report any suspected side effects to medicines and vaccines including traditional and
herbal medicinal products.
Please provide all relevant information and as complete as possible.
*
= Mandatory field,
= Help text for a field
Reporter
Email
*
Language
*
English
Reporter
*
Doctor
Pharmacist
Other health professional
Patient's legal representative
User of the medicine
Other non health professional
Type the characters exactly as in the image
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